The relationship between Spiritual Well-being and Quality of Life in Patients with Diabetes: a systematic review and meta-analysis

Purpose: Diabetes is one of the chronic diseases that affects the spiritual health and quality of life of these patients. The aim of this study was to determine the level of SH in Iranian patients with diabetes and its relationship with QOL through systematic review and meta-analysis approach. Methods: The present study was conducted in accordance with SR/MS Protocols (PRISMA) and the search process was carried out by 3 members of the research team. The search process was performed in International and Persian databases in articles published between 1999 by the end of 2018. Data was analyzed by comprehensive Meta analyses (CMA) software. Results: There were 11 articles on SH, 5 of which were related to QOL. According to the findings of SH patients based on SWB SH questionnaire was 92.67% (95% CI: 90.09-95.25). It is also showed in Figures 3 and 4 that SH in RH dimension Was 45.64% (95% CI: 37.03-54.26) and Existential SH was 43.36% (95% CI: 35.73-50.99). The patients' SH score based on Dunning's questionnaire was 74.25% (95% CI: 60.62-87.87) and the patients' QOL score is 73.88% (95% CI: 66.08-81.67). There was a significant correlation between SH and QOL is 0.633 (95% CI: 0.60-66). Conclusions: According to the findings, there was a relationship between SH and QOL. For this reason, it is recommended to pay special attention to the spiritual dimension of patients. It is also suggested to design and develop spiritual health promotion models for diabetic patients.